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DR. JOHN MICHAEL ALLEN DMD
NPI 1396796793
Oral & Maxillofacial Surgery in New York, NY

Active since May 12, 2006Opted out of Medicare · through Sep 1, 2027
1111 AMSTERDAM AVE, ST LUKES DIVISION OF ORAL & MAXILLOFACIAL SURGERY, NEW YORK, NY 10025(212) 523-3171(212) 523-2447 Get Directions Write a Review

NPPES record last updated: September 11, 2025. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Dr. John Michael Allen Dmd NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

DR. JOHN MICHAEL ALLEN DMD (NPI 1396796793) is an individual oral & maxillofacial surgery provider in New York, New York, licensed in California (46235) and active in the NPI registry since May 2006. He has opted out of Medicare through September 1, 2027 and remains eligible to order and refer.

NPPES Registry Identity

NPI1396796793
Entity TypeIndividualMale
Primary Taxonomy204E00000X
Provider Legal NameDR. JOHN MICHAEL ALLENCredential: DMD
Location Address1111 AMSTERDAM AVE, ST LUKES DIVISION OF ORAL & MAXILLOFACIAL SURGERYNew York, NY 10025
Mailing Address200 W 60th St #16aNew York, NY 10023-8506 · (917) 608-0868 · Fax (212) 523-2447
Phone(212) 523-3171
Fax(212) 523-2447
Sole ProprietorNo
Enumeration DateMay 12, 2006
Last NPPES UpdateSeptember 11, 2025
✔ NPI 1396796793 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

★ Primary SpecialtyOral & Maxillofacial SurgeryAllopathic & Osteopathic Physicians
Taxonomy Code204E00000X
Licenses✔ Licensed in CA · 46235✔ Licensed in NY · 052730
Definition
Oral and maxillofacial surgeons are trained to recognize and treat a wide spectrum of diseases, injuries and defects in the head, neck, face, jaws and the hard and soft tissues of the oral and maxillofacial region. They are also trained to administer anesthesia, and provide care in an office setting. They are trained to treat problems such as the extraction of wisdom teeth, misaligned jaws, tumors and cysts of the jaw and mouth, and to perform dental implant surgery.
Also ListedDentistTaxonomy 122300000X · License 052730 (NY), 46235 (CA)
Also ListedDentist · Oral and Maxillofacial SurgeryTaxonomy 1223S0112X · License DNF000323 (GA)
1111 AMSTERDAM AVE, New York, NY 10025
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Anthem Blue Cross and Blue Shield, Blue Cross and Blue Shield of Alabama, Blue Cross and Blue Shield of Montana and more.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

ⓘ

Opted out of Medicare

Dr. John Michael Allen Dmd has filed a Medicare opt-out affidavit. Services are provided under private contract between the provider and the patient, and are not billed to or reimbursed by Medicare. The opt-out is on file from September 1, 2015 through September 1, 2027.

Opt-Out Effective DateSeptember 1, 2015
Opt-Out In Effect ThroughSeptember 1, 2027Opt-out affidavits renew automatically every two years unless cancelled
Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesAn opted-out provider can still order and refer for Medicare patients in the categories marked above, even though their own services are not covered.

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

DR. TAKEHIRO KASAHARA D.M.D.
Dentist (Oral and Maxillofacial Surgery)
1111 AMSTERDAM AVE
NEW YORK, NY 10025
New York County (212) 523-3171
DR. MELVIN KU M.D.
Emergency Medicine
1111 AMSTERDAM AVE
NEW YORK, NY 10025
New York County (212) 523-3981
RAVI KATARI
Emergency Medicine
1111 AMSTERDAM AVE
NEW YORK, NY 10025
New York County (212) 523-4000
YAMINI POTINI MD
Hospitalist
1111 AMSTERDAM AVE
NEW YORK, NY 10025
New York County (212) 523-4000
HANNAH KITTRELL RD, CDN
Dietitian, Registered
1111 AMSTERDAM AVE
NEW YORK, NY 10025
New York County (212) 523-3618
DR. STANLEY CORTELL M.D.
Internal Medicine (Nephrology)
1111 AMSTERDAM AVE, MINTURN ROOM 205
NEW YORK, NY 10025
New York County (212) 523-3530
MR. EZEQUIEL JOSUE RODRIGUEZ RPA-C
Physician Assistant
1111 AMSTERDAM AVE, ORTHO DEPT. CLARK 7
NEW YORK, NY 10025
New York County (212) 523-2650
MR. MICHAEL STEPHEN BALLETTA
Nurse Practitioner (Adult Health)
1111 AMSTERDAM AVE
NEW YORK, NY 10025
New York County (212) 523-5918

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is John Allen's NPI number?

The NPI number for John Allen is 1396796793. It was assigned to this individual provider in the NPPES registry on May 12, 2006.

Where is John Allen located?

John Allen practices at 1111 Amsterdam Ave St Lukes Division Of Oral & Maxillofacial Surgery, New York, NY 10025. The listed phone number is (212) 523-3171.

What is John Allen's specialty?

The primary specialty registered for this NPI is Oral & Maxillofacial Surgery with taxonomy code 204E00000X.

Is John Allen enrolled in Medicare?

No. John Allen has opted out of Medicare through September 1, 2027. Care is provided under private contracts, and Medicare does not pay for services furnished by providers who have opted out. The provider remains eligible to order and refer services for Medicare patients.

What insurance does John Allen accept?

Health plans from Anthem Blue Cross and Blue Shield, Blue Cross and Blue Shield of Alabama, Blue Cross and Blue Shield of Montana, Blue Cross and Blue Shield of Oklahoma and Blue Cross and Blue Shield of Texas and 3 other insurers list John Allen as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for John Allen was last updated on September 11, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.